Disordered eating behaviors and predictors in youth with Type 1 Diabetes and Celiac Disease

Data on Disordered Eating Behaviors (DEBs) occurrence in cohorts with Type 1 Diabetes (T1D) and Celiac Disease (CD) are very few and somehow conflicting. This study aimed to analyze the prevalence of DEBs in T1D + CD and T1D individuals, and to identify the main predictors. An observational case-control study was conducted comparing subjects aged 8-18 years with T1D and CD (<i>n</i> = 66) with those with T1D only (<i>n</i> = 84). The first group reported a prevalence of DEBs of 42.4%, compared to 9.5% of subjects with T1D only (<0.001). Multiple logistic regression analysis showed that being male, having a higher BMI <i>z</i>-score and being in the pre- or early pubertal status gave a higher probability of presenting a ChEAT total score >20 in both groups. These findings suggest that T1D + CD patients are more likely to develop DEBs. Furthermore, personalized care plans are needed to prevent DEBs in T1D + CD patients.

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Publication Details

Journal
Journal of Health Psychology
Published
2025-08-05
DOI
https://doi.org/10.1177/13591053251359113
Primary Topic
Eating Disorders and Behaviors
Type
article
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article

Disordered eating behaviors and predictors in youth with Type 1 Diabetes and Celiac Disease

Riccardo Pertile, Dario Iafusco, Maurizio Delvecchio, Roberto Franceschi et al.
Journal of Health Psychology
Eating Disorders and Behaviors
article

Disordered eating behaviors and predictors in youth with Type 1 Diabetes and Celiac Disease

Riccardo Pertile, Dario Iafusco, Maurizio Delvecchio, Roberto Franceschi, Elisa Morotti, Alberto Casertano, Stefano Passanisi, Enza Mozzillo, Marco Marigliano, Alda Troncone, Gaia Caldarelli, Fortunato Lombardo
article en

Abstract

Data on Disordered Eating Behaviors (DEBs) occurrence in cohorts with Type 1 Diabetes (T1D) and Celiac Disease (CD) are very few and somehow conflicting. This study aimed to analyze the prevalence of DEBs in T1D + CD and T1D individuals, and to identify the main predictors. An observational case-control study was conducted comparing subjects aged 8-18 years with T1D and CD (<i>n</i> = 66) with those with T1D only (<i>n</i> = 84). The first group reported a prevalence of DEBs of 42.4%, compared to 9.5% of subjects with T1D only (<0.001). Multiple logistic regression analysis showed that being male, having a higher BMI <i>z</i>-score and being in the pre- or early pubertal status gave a higher probability of presenting a ChEAT total score >20 in both groups. These findings suggest that T1D + CD patients are more likely to develop DEBs. Furthermore, personalized care plans are needed to prevent DEBs in T1D + CD patients.

Journal of Health PsychologyVol. 31(3)
University of Messina (IT), University of Trento (IT), University of Campania "Luigi Vanvitelli" (IT), University of L'Aquila (IT), Azienda Ospedaliera Universitaria Integrata Verona (IT), Istituto Ortopedico Gaetano Pini (IT), University of Campania "Luigi Vanvitelli" (IT), Institute for Clinical Evaluative Sciences (CA), University of Naples Federico II (IT)
Good health and well-being
Openalex Percentile: Top 73%
Eating Disorders and Behaviors
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